title: Serial pathologic fractures of five long bones on four separate occasions in a patient with primary hyperparathyroidism, challenges of management in a developing country: a case report.
abstract: Multiple pathologic fractures secondary to parathyroid adenoma is rarely recognized and reported in the tropics. Inadequate evaluation causes worsened disability and increased psychological stress. We present a 27-year-old Nigerian male student with recurrent unexplained pathological fractures of the long bones. Primary Hyperparathyroidism was later diagnosed and he benefited from a unilateral parathyroidectomy. Primary hyperparathyroidism secondary to parathyroid adenoma is difficult to diagnose and needs a high index of suspicion. Surgery and good post-operative biochemical control of serum calcium produce satisfying outcomes.
authors.affiliation: Division of General Surgery, Department of Surgery, University of Ilorin Teaching Hospital, Ilorin Kwara State, Nigeria.
authors.forename: Samuel Adegboyega
authors.initials: SA
authors.lastname: Olatoke
authors.forename: Olayide Sulaiman
authors.initials: OS
authors.lastname: Agodirin
authors.forename: Ganiyu Adebisi
authors.initials: GA
authors.lastname: Rahman
authors.forename: Olufemi Gbenga
authors.initials: OG
authors.lastname: Habeeb
authors.forename: Rabiu Olusegun
authors.initials: RO
authors.lastname: Jimoh
authors.forename: Bola Abdulkadir
authors.initials: BA
authors.lastname: Ahmed
authors.forename: Sikiru
authors.initials: S
authors.lastname: Biliaminu
authors.forename: Olanrewaju Olubukola
authors.initials: OO
authors.lastname: Oyedepo
mesh_terms: D000236:Adenoma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D000328:Adult; D003906:Developing Countries; D050723:Fractures, Bone / Q000209:etiology*; D006801:Humans; D049950:Hyperparathyroidism, Primary / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D009549:Nigeria; D010282:Parathyroid Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D016105:Parathyroidectomy / Q000379:methods; D012008:Recurrence
keywords: Pathologic fractures; Primary Hyperparathyroidism; parathyroid adenoma; serum calcium; surgery